| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $457.09 | $575.44 | $707.95 | |
Medica
| Professional | $1,513.56 | $1,513.56 | $1,513.56 | |
Midlands
| Professional | $562.34 | $562.34 | $562.34 | |
Midlands
| Professional | $562.34 | $562.34 | $562.34 | |
Sanford Health Plan
| Professional | $309.03 | $338.84 | $457.09 |